Active NPI
Steven J. Solow, D.M.D.
- Pediatric Dentistry
- Wynnewood, PA
National Provider Identifier
1750442687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS019948L
- Practice address
- 990 City Ave
Wynnewood, PA 19096-4005 - Phone
- (610) 649-8383
- Fax
- (610) 649-5484
- NPI assigned
- Dec 13, 2006
- Last updated
- Feb 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS019948L | PA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS019948L | PA |
Addresses
Primary practice location
990 City Ave
Wynnewood, PA 19096-4005
Mailing address
400 Oakwynne Dr
Wynnewood, PA 19096-2352
Phone (610) 642-3168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32953 | Other | PA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS019948L | PA | MD | Pediatric Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Wynnewood, PA
- NPI 1538550645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1750442687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 OAKWYNNE DR",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962352",
"telephone_number": "610-642-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 CITY AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190964005",
"telephone_number": "610-649-8383",
"fax_number": "610-649-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOW",
"first_name": "STEVEN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS019948L",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS019948L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "32953",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.